Individual provider Active NPI

Natalie Spicyn, MD, MHS

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1710278593
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0632 Issued in MD
Practice address
725 W Lombard St
Baltimore, MD 21201-1009
Phone
(410) 706-4091
Fax
(410) 706-6422
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0632 MD
Internal Medicine Physician 207R00000X 0632 MD Primary

Addresses

Primary practice location

725 W Lombard St
Baltimore, MD 21201-1009

Mailing address

725 W Lombard St
Baltimore, MD 21201-1009
Phone (410) 706-4091

Other identifiers 1

IdentifierTypeStateIssuer
D79384OtherMDMAYLAND LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722004195 MD Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - PsychiatryPractitioner - Pediatric Medicine 2264682210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine, Pediatric Medicine, Psychiatry
Education
Yale University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland Physicians PAGroup PAC ID 2769394808, 395 clinicians

Practice addresses (Care Compare)

3612 Falls Rd
Baltimore, MD 21211-1869
Phone (410) 706-6426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0632MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians P.a. CurrentSince Jan 31, 2023 Accepting new patients
University of Maryland Psychiatry Associates, PA CurrentSince Jan 31, 2023 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Jan 31, 2023 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients

Locations

725 W Lombard St
#725
Baltimore, MD 21201
Phone (410) 706-6444

3612 Falls Rd
Baltimore, MD 21211
Phone (410) 467-4357

725 W Lombard St
Baltimore, MD 21201
Phone (410) 706-1684

701 W Pratt St
Baltimore, MD 21201
Phone (410) 328-5881

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

3955 Old North Point Rd
Dundalk, MD 21222
Phone (410) 477-0744

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1710278593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011009",
            "telephone_number": "410-706-4091",
            "fax_number": "410-706-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011009",
            "telephone_number": "410-706-4091",
            "fax_number": "410-706-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICYN",
        "first_name": "NATALIE",
        "credential": "MD, MHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "0632",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "0632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAYLAND LICENSE NUMBER",
            "identifier": "D79384",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.